Provider Demographics
NPI:1912940743
Name:DEUTSCH, AMY DOLORES (DC)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:DOLORES
Last Name:DEUTSCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 KEARSARGE AVE
Mailing Address - Street 2:
Mailing Address - City:CONTOOCOOK
Mailing Address - State:NH
Mailing Address - Zip Code:03229-3103
Mailing Address - Country:US
Mailing Address - Phone:603-746-5353
Mailing Address - Fax:603-746-5454
Practice Address - Street 1:32 KEARSARGE AVE
Practice Address - Street 2:
Practice Address - City:CONTOOCOOK
Practice Address - State:NH
Practice Address - Zip Code:03229-3103
Practice Address - Country:US
Practice Address - Phone:603-746-5353
Practice Address - Fax:603-746-5454
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH539A0898111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH48898OtherPROVIDER BILLING ID
NH517940OtherPROVIDER ID
NHNH00898OtherPROVIDER ID
NH5376407OtherPROVIDER ID
NH7569059OtherPROVIDER ID
NHU79076OtherPROVIDER ID
NHDERE5591Medicare ID - Type UnspecifiedPROVIDER ID